Is 'diastolic heart failure' a diagnosis of exclusion? Echocardiographic parameters of diastolic dysfunction in patients with heart failure and normal systolic function.
Philip M Mottram, Leanne Short, Terri Baglin, Thomas H Marwick
Heart Lung and Circulation | Published : 2003
BACKGROUND: Diastolic heart failure (DHF) is reported to account for 30-50% of heart failure presentations, but its prevalence in the absence of overt coronary disease is unclear. Diastolic heart failure is usually defined by exclusion (heart failure with normal left ventricular (LV) systolic function), and few studies have sought a specific diagnosis of diastolic dysfunction. The objective of the present study was to determine the prevalence of isolated DHF and characterise LV diastolic function in patients without clinical evidence of coronary disease, who were referred for LV function assessment. METHODS: Among 938 consecutive patients referred for assessment of LV function, diastolic dys..View full abstract